Poonam Srivastava, M.D

InactiveIndividual ProviderSpecialty not listed
NPI issued: July 26, 2005

Quick Facts

NPI Number
1063412757
TypeIndividual
StatusInactive
SpecialtySpecialty not listed
Taxonomy174400000X — Specialty not listed
Phone
(570) 374-8555
StatePA

NPI Validation Status: Deactivated

✅Valid 10-digit NPI number (1063412757)
❌Active status: Deactivated / Inactive
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (July 26, 2005)
Data source: CMS NPPES

Provider Overview

POONAM SRIVASTAVA, M.D is a Healthcare provider based in Selinsgrove, PA who has been registered with CMS since 2005. This NPI is currently Deactivated under CMS NPPES registry.

Provider Details

NPI Number1063412757
Provider TypeIndividual Provider
GenderFemale
CredentialM.D
StatusInactive
Enumeration DateJuly 26, 2005

Practice Location

CitySelinsgrove
StatePA
ZIP Code17870-9367
Phone(570) 374-8555

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code174400000X
License StatePA

Mailing Address

CitySelinsgrove
StatePA
ZIP Code17870-9367
Phone(570) 374-8555
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1063412757 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1063412757for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1063412757 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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98,222
Specialty not listed Providers in the US

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People Also Ask

What is Poonam Srivastava's NPI number?
Poonam Srivastava's NPI number is 1063412757, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Poonam Srivastava's NPI currently active?
No, Poonam Srivastava's NPI status is Inactive as of the latest CMS NPPES database updates.
What does Poonam Srivastava specialize in?
Poonam Srivastava specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 174400000X.
Where does Poonam Srivastava practice?
Poonam Srivastava practices in Selinsgrove, PA 17870-9367.
When was Poonam Srivastava's NPI issued?
Poonam Srivastava's NPI was issued on July 26, 2005.
What is Poonam Srivastava's provider type?
Poonam Srivastava is registered as an Individual Provider under CMS NPI Type 1.